MEDICARE: DR. HEATHER JUSTINE MELLING DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2447	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0829L	OTHER	NC	BCBS
2	5251639	OTHER	NC	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174546477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER JUSTINE MELLING DC

Provider Business Mailing Address
First Line	:	275 N HIGHWAY 16
Second Line	:	SUITE 102
City	:	DENVER
State	:	NC
Zip	:	28037-3000
Country	:	US
Telephone Number	:	704-489-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 N HIGHWAY 16
Second Line	:	SUITE 102
City	:	DENVER
State	:	NC
Zip	:	28037-3000
Country	:	US
Telephone Number	:	704-489-1999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. HEATHER JUSTINE MELLING DC” Practice Location

Language	Start Address	Practice Location

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